Individual provider · Type 1 NPI
Charles Edward Poole, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Farmington Hills, MI
NPI number
1205714979
Active
Practice location
31300 Northwestern Hwy
Farmington Hills, MI 48334-5407
Mailing address
43000 12 Oaks Crescent Dr
Novi, MI 48377-3404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704268830 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1205714979
Charles Edward Poole, PMHNP's National Provider Identifier is 1205714979, issued on Aug 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Farmington Hills, MI. The record was last updated on Aug 21, 2025.